Provider Demographics
NPI:1053423848
Name:GARCIA, TRINIDAD ESPIRITU (MD)
Entity type:Individual
Prefix:DR
First Name:TRINIDAD
Middle Name:ESPIRITU
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 NE 19TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972
Mailing Address - Country:US
Mailing Address - Phone:863-763-6427
Mailing Address - Fax:863-763-0098
Practice Address - Street 1:306 NE 19TH DRIVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972
Practice Address - Country:US
Practice Address - Phone:863-763-6427
Practice Address - Fax:863-763-0098
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021723207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053451000Medicaid
D54985Medicare UPIN
FL053451000Medicaid